DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JESSE GEORGE SULLIVAN JR., MD

Active

DR. JESSE GEORGE SULLIVAN JR., MD is a General Practice healthcare provider located in EL RENO, Oklahoma. NPI 1285675405 is currently active in the NPPES registry. Verify at CMS.

General Practice · EL RENO, OK

Registration Details

NPI Number
1285675405
Provider Type
Individual
Gender
Male
NPI Issued
Jun 9, 2006 (20.156164361941 yrs)
Last Updated
Jul 8, 2007
License
12233 (OK)

Practice Information

Address
2001 PARKVIEW DR
EL RENO, OK, 730362107
Browse OK providers · Browse ZIP 73036
Phone
4052622114
Fax
4052622306
Primary Specialty
General Practice
208D00000X

Other General Practice Providers in EL RENO, OK

Name Credential NPI
DR. MARGARET A MEHLE M.D. 1346245248
ROBERT SAUL CASTRO M.D. 1407919269
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.